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Individual
MR. DANIEL RAY BREIVOGEL
Active
Individual
MR. DANIEL RAY BREIVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9316690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003096900
—
FL
01
—
EM733Z
MEDICARE PTAN
FL
Enumeration date
12/03/2010
Last updated
06/14/2024
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